In this episode, Mo and Marc are joined by Special Guest Charles (Mac) Evarts, MD, FAOA (former CEO of the University of Rochester Medical Center, Chairman of the Department of Orthopaedic Surgery at Cleveland Clinic, Senior Vice President of Health Affairs and Dean of the College of Medicine at The Pennsylvania State University, and Past President of the AOA, Hip Society, and ABOS) in a discussion of the “secret sauce” of leadership of individuals, departments, and institutions, with an emphasis on grit and perseverance. Links: • None Subspecialties: • Education and Training • Orthopaedic Essentials Keywords: Orthopaedics, orthopedics, JBJS, OrthoEvidence, OE, leadership, education, Institute of Medicine, change management, AOA, influence, impact, CEO, research, academia, negotiation, perseverance, longevity, inspiration, grit, persistence, AAOS, pride, Arts and Humanities